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NPI Verification

National Provider Identifier: 1508488800

3 Ple O Llpc

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

165 DALE ST

RED BOILING SPRINGS, TN 371502102

Phone: 615-699-3169

NPI Enumeration Date

May 11, 2020

NPI Number

1508488800

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry